MethodistMD :: OneChart Order Sets

ANES Anesthesia Low Dose Ketamine for Post Op Pain Plan 20335 QM0316 PP 042517	20335 QM0316 PP
ANES APS Catheter Plan 20326 QM0611PP Rev050515	20326 QM0611PP
ANES Celecoxib Plan 20327-PP_QM1212-Rev.011513	20327-QM0611
ANES Critical Care Titrate Meds Plan 20311 PP QM0611-Rev031715	20311 PP QM0611
ANES Enhanced Recovery After Surgery (ERAS) Plan 20308 QM1115 Rev022618	20308 QM1115
ANES Lab And Diagnostic Plan 20310 QM0611 PP Rev062617	20310 QM0611 PP
ANES Nerve Block SDS Discharge Plan 20328 QM0611 PP Rev112018	20328-PP-QM0611
ANES OB C SectionPlan 20329 QM1212 PP Rev042418	20329 QM1212 PP
ANES PACU Post Op Plan 20301 QM1212 PP Rev062017	20301 QM1212 PP
ANES PACU PRN Plan-20323-PP-QM0611-111312	20323-PP-QM0611
ANES PP PACU Respiratory Plan NORTH ONLY-20318P-QM0611 071911	20318P-QM0611
ANES Pre Op Plan 20303-PP-QM0611-Rev 071712	20303-PP-QM0611
ANES Pre-Procedure Assessment & Plan (H&P present)-606-QM-Ver2	606-QM
ANES REGIONAL ANESTHESIA PROCEDURE NOTE-20307-QM-0308-Ver1	20307-QM-0308
ANES Sleep Apnea Plan 20322 PP QM0611 Rev021015	20322-PP QM0611
ANES Total Joint Plan 20324-PP-6 phases-QM1212-Rev022615	20324-PP-6 phases-QM1212

BEH Behavioral Health Admit Plan 22607 QM0810 PP Rev071817	22607 PP QM0810
BEH Physician Discharge Note 092812	092812
BEH Post Discharge Cont Care Plan Doc 041013
BEH Psychosis Adult (Drug and Non Drug Induced) Orders-22601-QM0813 Rev 092413	22601-QM0813
BEH Psychosis Geriatric Orders-22602-QM0813 Rev 092413	22602-QM0813
BEH Withdrawal Syndrome Protocol Plan 20344 QM0811PP Rev062618	23044 PP QM0811
Restraint Orders- 003793	3793

23006 Glycoprotein iiib-iiia Dosing Protocol-23006-QM1208 Ver4 110411	23006-QM-1208
CARD Acute MI Acute Coronary Syndrome Adult Plan 20404 QM1108 PP Rev121917	20404 PP QM1108
CARD Aquapheresis Orders 20423-QM0311 080212 NORTH ONLY	20423-QM0311
CARD Arterial Insufficiency Acute Orders 20403 QM1108-Ver5 Rev021015	20403 QM1108
CARD Atrial Fib-Flutter Plan 20402 QM1108 PP Rev021318	20402-QM1108 PP
CARD Cardiac Cath Post Procedure Plan 20401 QM1108 PP Rev092617	20401-PP-QM1108
CARD Carotid Perc Angio w Stent POST Proc-20410-QM-1108	20410-QM-1108
CARD Carotid Perc Angio w-stent Placement Pre Proc 20409 QM1108 PP Rev.021318	20409-QM1108 PP
CARD Cath Lab Pre Procedure Plan 20405 PP QM1108 Rev010918	20405 QM1108 PP
CARD EP Card Impl POST Proc Plan 20408 QM1108 PP Rev021318	20408-QM1108 PP
CARD EP Cardio Impl Pre Proc Plan 20407 QM1108 PP Rev021318	20407-QM1108 PP
CARD Heart Failure Admit Plan 20412 QM1108 PP Rev092617	20412 QM1108 PP
CARD Heart Failure Discharge Prescription Orders- 626-QM-Ver2	626-QM
CARD Implella Ventricular Assist Device 20422 QM0311 Rev041718.pdf	20422-QM0311 PP
CARD Ischemic Ulceration-Gangrene(Chronic) - 20413-QM1108-Ver7 011912	20413-QM1108
CARD PCI Post Procedure Plan 20406 QM0410 PP Rev081517	20406-QM0410 PP
CARD Post DC IABP-20417-QM-1108	20417-QM
CARD Right Heart Catheterization Plan 20425 QM0415 PP Rev021318	20425 QM0415 PP
CARD STEMI LBBB Orders-20418-QM0908-Ver10 Rev111716	20418-QM090808
CARD Stress Perfusion Medication Plan 20420 QM0509 PP Rev021318	20420 QM0509 PP
CARD Stress Test Plan 20424 QM0509 PP Rev021318	20424 QM0509 PP
CARD TEE Post Procedure Plan 20411 QM1108 PP Rev021318	20411-QM1108 PP
PT Hydration Protocol Plan 23017 QM1214 PP Rev091115	23017 QM1214 PP
PT Amiodarone Protocol Orders 23035-QM1212-Rev042216	23035-QM1212
PT Bivalirudin (Angiomax) Cath Lab Only 23016 QM0313 Rev042517	23016-QM0313

CC Hypo Post CA Protocol CC 20709 QM0612 Rev032018	20709-QM0612
CRIT CARE Acute Resp Distress Syndrome Orders- 20701-QM1108-Rev062716	20701-QM1108
CRIT CARE ICU Admit Plan 20703 QM1108 PP Rev021318	20703 QM1108 PP
CRIT CARE Pulmonary Embolism Plan 20705 QM1108 PP Rev071216	20705-QM1108
CRITCARE Chest Tube Thoracostomy Pre Proc 20708 QM1108 PP Rev021318	20708-QM1108 PP
CRITCARE ICU Transfer Out Plan 20704 QM1108 PP Rev021318	20704-QM1108 PP
CRITCARE Pulmonary Daily Progress Note - 957-QM-0507-Ver3	957-QM-0507
CRITCARE Ren2 Daily Progress Note (Critical Care) - 1002-QM-0607 Ver4	1002-QM-0607
CRITCARE Respiratory Failure Orders 20706-QM1108-Rev062716	20706-QM1108
Epoprostenol FLOLAN Inhalation Plan 20710 QM0415 PP Rev100118	20710 QM0415 PP
MED Inpatient Sepis 6 Hour Bundle Plan 20906 QM0614 PP Rev101618	20906 QM0614 PP
MED MRT Standing Orders Protocol Plan 20908 QM0816 PP Rev111716	20908 QM0816 PP
MED Severe Sepsis 6 Hour Bundle Plan 20707 QM0614 PP Rev101618	20707-PP-QM0614
PT NMB of Mech Vent Pt Protocol 23022 QM1208 Rev050515	23022-QM1208
PULM Vent Bundle Mech Vent Patients Plan 21710 QM0113 PP Rev091218	21710-QM0113 PP

CC Abdominal Pain-22210-QM1008-Ver4 062111	22210-QM1008
CC Adult Procedural Sedation Plan 22254-PP-QM0214-051314	22254-PP-QM0214
CC Blood (PRBC) Transfusion-22228-QM1008	22228-QM1008
CC Chest Pain Sudden Onset Orders 22208-QM1008-(Fayette 0412)-Rev 021213	22208-QM1008
CC DIARRHEA-22207-QM1008	22207-QM1008
CC Discharge Plan 22218 QM0912 PP Rev091217	22218 QM0912 PP
CC FEVER CHILL-22220-QM1008 Ver2 051111	22220-QM1008
CC Known Seizure Disorder Observation 22252 QM0713PP Rev071718	22252 QM0713PP
CC Lumbar Puncture Plan-22217-QM1108 PP ver2 061110	22217-QM-1108 PP
CC Medical Nutrition Therapy Protocol Plan 22232 PP QM0810 Rev 071514	22232 PP QM0810
CC NAUSEA VOMIT-22201-QM1008-Ver2 071211	22201-QM1008
CC Paracentesis Plan 22227 PP QM1008 Rev111417	22227 PP QM1008
CC PICC Line Insert Protocol Orders 22204-QM0712 Rev121516	22204-QM0712
CC PRN Common Comfort Medication-22231-QM1008-Ver3 071211	22231-QM1008
CC Prophylaxis for IV Dye Allergy-22213-QM1008	22213-QM1008
CC Rheumatology-22214-QM1008	22214-QM1008
CC Routine AM Diagnostic-22215-QM-1008	22215-QM-1008
CC Routine Deceased Donor Adult Orders 22236-QM0912 PP Rev100118	22236-QM0912 PP
CC Smoking Cessation-22219-QM1008	22219-QM1008
CC Syncope Observation Plan 22223-PP-QM0912-022713	22223-PP-QM0912
CC Thoracentesis-22212-QM1008-Ver9-102111	22212-QM1008-Ver9-102111
CC Transfuse Blood Blood Products Adult Plan 22239 QM0113 PP Rev021015	22239 QM0113 PP
CC Tunneled Drainage Catheter (Non-Dialysis) Orders-22235-QM0512-082812	22235-QM0512
CC Wound Care Admit-22006-QM-1008	22006-QM-1008
CC Wound Care Treatment Plan 22255 QM0816 PP 082316	22255 QM0816 PP
Cross 10CC Common Orders Rev042216
CROSS Adult Enteral Nutrition Plan(MD ONLY)22233-QM0711 PP Rev041817	22233-QM0711 PP
CROSS Dietitian Enteral Nutrition Adult Plan 22234 QM0711 PP Rev041817	22234-QM0711 PP
CROSS Gastroenteritis Dehydration Admit Orders 22209-QM1008-080212	22209-QM1008
CROSS Gastroenteritis Observation Plan 22238-QM1212-043013	22238-QM1212
CROSS Headache Observation Plan 22237 QM1212 PP Rev021015	22237-QM1212 PP
CROSS Hematuria Admit Plan 22211 QM1008 PP Rev062617	22211-QM1008 PP
CROSS Heparin Impella Device Non-Protocol Inf 22256 QM0217 PP 021417	22256 QM0217 PP
CROSS Hypokalemia Observation Plan-22246-QM0114 PP Rev081815	22246-QM0114 PP
CROSS Midline Catheter Insertion Protocol Plan 22258 QM0918 PP 100218	22258 QM0918 PP
CROSS Shortness of Breath Plan 22202 QM1008 PP Rev022018	22202-QM1008 PP
CROSS Soft Tissue Infection Observation Plan 22253-PP-QM0314-040814	22253-PP-QM0314
Cross Sputum-29516-ver2-QM1008-102111	29516-ver2-QM1008-102111
CROSS TIA Observation Plan 22244 QM0614 PP Rev021616	22244 QM0614 PP
CROSS Tube Feeding Bolus Orders 22240-QM1108-Rev 021213	22240-QM1108
CROSS Tube Feeding Continuous-Int Orders 22241-QM1108-Rev 021213	22241-QM1108
CROSS-Heparin Non Protocol Infusion 22230 QM0209 Rev021417	22230-QM0209
Housewide Ped Asthma Score Protocol.12.6.11.rev	12.6.11.rev
ID Commonly Used Abx Plan 22724 QM1212 PP Rev091917	22724-PP-QM1212
Palivizumab (Synagis) Order Form- 020410	20410

CV Cardiac Surgery Admission Plan 20814 QM1213 PP Rev021015	20814 QM1213 PP
CV SURG AAA Stent Postop - 20810-QM1108-Ver4 071111	20810-QM1108
CV SURG AV Shunt Preop Plan 20806 QM1108 PP Rev031318	20806-QM1108 PP
CV SURG Cardiac Surgery Post Op Plan 20811 QM1112 PP Rev100118	20811-PP-QM1112
CV SURG Cardiac Surgery Pre Op Plan EKM 20802 QM1112 PP Rev013018	20802 QM1112 PP
CV SURG Cardiac Surgery Transfer Plan-20803-PP-QM1112-Rev 121112	20803-PP-QM1112
CV SURG CV Surgery Admission Plan 20809 QM1108 PP Rev031318	20809-QM1108 PP
CV SURG Thorocotomy Lobectomy Postop Plan 20804 QM1108 PP Rev100118	20804-QM1108 PP
CV SURG Transcatheter Aortic Valve Replacement Post Op Plan 20815 QM0417 PP 042517	20815 QM0417 PP
CV SURG Transcatheter Aortic Valve Replacement TAVR Pre Op Plan 20818 QM0216 Rev013018	20818 QM0216
CV SURG Vascular Surgery Pre Procedure Plan 20816 QM1213-020414	20816 QM1213
CV SURG Vascular Surgery Post Op Plan-20805-PP-QM1108-Rev032514	20805-PP-QM1108
CV SURG Vascular Surgery Stent Graft Plan-20815-PP-QM122013-020414	20815-PP-QM122013
CV SURG Ventilator Weaning Orders-20813-QM1110-082812	20813-QM1110
CV SURG Watchman Post Procedure Plan 20821 QM0418 041718	20821 QM0418
CV SURG Watchman Pre Procedure Plan 20820 QM0418 041718	20820 QM0418

1622-QM-HistoryPhysicalUpdate	1622
1623-QMFocusedPhysicanAssessment	1623
1629-LeBonheur Hx and Physical Update-Addition-Rev.0413	1629
GI Informed Consent GI Lab - PMR-002 -010610 - PS001658	PMR-002 -010610 - PS001658
History and Physical Downtime Form 1624-QM-0607-Ver1	1624-QM-0607
History and Physical Downtime Form Pediatric 1625-QM-0607-Ver1	1625-QM-0607
Hospitalist - Impression- Plan	Hospitalist - Impression- Plan
Int Med Hospitalist - Progress Note	Int Med Hospitalist - Progress Note
Kidney/Pancreas Transplant Referral Form - K & P Referral Form	K & P Referral Form
Liver Transplant Referral Form - Electronic Liver Referral	Liver Transplant Referral Form - Electronic Liver Referral
Moderate Sedation FPPE Form - Concurrent Mod SEDATION	Concurrent Mod SEDATION
Moderate Sedation Pre-Procedure Assessment & Plan - 606-QM-VER2	606-QM
Pediatric HP Status Asthmaticus 1627-QM-0607-Ver1	1627-QM-0607
Pediatric ICU Fellow/Attending Admit Note 1626-QM-0607-Ver1	1626-QM-0607
Physician Orders for Scope of Treatment Form (POST)	Physician Orders for Scope of Treatment Form (POST)
Physician Outpatient Form	Physician Outpatient Form
Physicians Orders downtime	Physicians Orders downtime
Procedural Record Mod Deep Sedation - 605-QM-0908 ver 6	605-QM-0908
Progress Note - Generic	Progress Note - Generic

23006 Glycoprotein iiib-iiia Dosing Protocol-23006-QM1208 Ver4 110411	23006-QM-1208
Behavioral Restraint Orders- 003793	3793
ED Abd Pain Female-20505P-QM0808 Rev032117	20505-QM0808
ED Abd Pain-GI Bleeding Orders 20534P QM0313 Rev012318	20534P QM0313
ED Abdominal Pain AAA-20533-QM0808 Ver2 051111	20533-QM0808
ED Abdominal Pain Male 20506-QM0808-Rev111417	20506-QM0808
ED Admission Interim Orders 20526-QM0808 Rev012318	20526-QM0808
ED Altered Mental Status Orders-20508-QM0808-(QF0412)-Rev 031213	20508-QM0808-(QF0412)
ED Atrial Fibrillation Plan 20565 QM0615 PP 072815	20565 QM0615 PP
ED Back Pain Orders-20509-QM0808-(QF0412)-Rev081616	20509-QM0808-(QF0412)
ED Chest Pain Orders 20501-QM0808-(QF0412)-Rev112018	20501-QM0808-(QF0412)
ED Chest Tube Thoracostomy-20524-QM0808-Ver2 071211	20524-QM0808
ED Clinical Decision Unit Status Orders 20562-QM0311 Rev012318	20562-QM0311
ED Cocaine Observation Orders-20517-QM0808 Rev012318	20517-QM0808
ED Complaint of Allergic Reaction Orders 20504-QM0808 Rev012318	20504-QM0808
ED Cough Orders 20519 QM0808 Rev012318	20519-QM0808
ED Dizziness Orders -20549-QM0808-Ver8 Rev022316	20549-QM0808
ED Eye Problems Orders-20537-QM0808 (Fayette 0412) Rev020916	20537-QM0808
ED Fever Orders-20527P-QM0313-(QM0412) Rev012318	20527P-QM0313-(QM0412)
ED Flank Pain Orders-20538P-QM0808-(QF0412)-Rev022316	20538P-QM0808-(QF0412)
ED Headache Orders 20539-QM0808-(QF0412)-Rev022316	20539-QM0808-(QF0412)
ED Hx of Drug or Alcohol Withdrawal Orders-20550-QM0808-(QF0412)-Rev052616	20550-QM0808-(QF0412)
ED Hyperglycemia Orders-20511-QM0808 Rev081616	20511-QM0808
ED Hyperkalemia per History Orders-20540-QM0912-Rev 031213	20540-QM0912
ED Hypertension PTA Orders 20541P-QM0808-(QF0412) Rev022316	20541P-QM0808-(QF0412)
ED Hypoglycemia Orders-20512-QM0808-(QF0412)-Rev022316	20512-QM0808-(QF0412)
ED Intoxication Suspected Orders-20503-QM0808 Rev.052516	20503-QM0808
ED Isch Stroke NIH Scale-20525-QM-0908	20525-QM-0908
ED IV Thrombolytics for Acute MI Orders 20557-QM0912-Rev021616	20557-QM0912
ED Low Intermediate CP (Track+3) 20553 QM0912 Rev121217	20553-QM0912
ED Lumbar Puncture Procedure-20521-QM0808 Rev012318	20521-QM0808
ED MD or RN Swallowing Screen-20531-QM0209	20531-QM0209
ED Non-STEMI Unstable Angina Orders 20530-QM0808-Ver10 Rev030615	20530-QM0808
ED Overdose Orders 20514P-QM0808-(QF0412)-Rev022316	20514-QM0808-(QF0412)
ED Pneumonia Care Track Orders 20544-QM0409 Rev012318	20544-QM0409
ED Pre Eclampsia Eclampsia Orders 20563 QM0411 Rev031318	20563-QM0411
ED Psychiatric Symptoms 20516-QM0808-(QF0412)-Rev081616	20516-QM0808-(QF0412)
ED Radiology Common Orders 20552-QM0808-(QF0412)-Rev032117	20552-QM0808-(QF0412)
ED Respiratory Support Intubation 20545-QM1108-Rev 062716	20545-QM1108
ED Sedation Procedure Orders 20522-QM0808- Rev120216	20522-QM-0808
ED Seizure Recurrent Orders 20507-QM0808 (QF0412) Rev022316	20507-QM0808-(QF0412)
ED Seizure-New Onset 20546 QM0808 Rev081616	20546-QM0808-(QF0412)
ED Severe Sepsis Bundle Plan EKM 20568 QM0917 PP Rev102418	20568 PP QM0917
ED Sickle Cell Pain-Pain or SOB wHx Sickle Cell Orders-20547P-QM1112-(QF0412) -Rev022316	20547P-QM1112-(QF0412)
ED Skin Redness Pain Abscess-20513-QM0808-Ver4 Rev022316	20513-QM0808-(QF0412)
ED SOB with Hx of Asthma COPD 20535 QM0808 011717	20535-QM0808
ED Sore Throat-20515- QM0808ver2	20515- QM0808
ED STAT DRUG - 20554-QM-0808	20554-QM-0808
ED STEMI-LBBB New Onset Orders 20502-QM0908- Ver13 Rev092716	20502-QM0908
ED Stroke Symptom Orders 21004P QM0908 Rev053018	21004P-QM0908
ED Syncope Orders-20518-QM0808 QF0412 Rev022316	20518-QM0808 QF0412
ED Tge Stand Strke Symp Act Res Orders 21004N QM0313	21004N QM0313
ED Trauma Orders 20510-QM0712 Rev012318	20510-QM0712
ED Vaginal Bleeding Orders 20548P-QM0313-(QF0412) Rev012318	20548-QM0808-(QF0412)
ED Vaginal or Penile Discharge Orders 20543 QM0808 Rev012318	20543 QM0808
ED Weakness Orders 20529-QM0808-QF0412-Rev.022316	20529-QM0808-QF0412
ED_SOB_Dyspnea_Orders-20536-QM0808-(QF0412)-Rev092716	20536-QM00808-(QF0412)
ID Commonly Used Abx Plan 22724 QM1212 PP Rev091917	22724-PP-QM1212
IV Thrombolytic Therapy Form 051915
LEB ED Joint Aspiration Procedure Plan 40513 PP QM0908 Rev101017	40513 PP QM0908
MED General Medicine Admit Plan 20901 QM1212 PP Rev120618	20901 PP QM1212
MED Inpatient Sepis 6 Hour Bundle Plan 20906 QM0614 PP Rev101618	20906 QM0614 PP
MED MRT Standing Orders Protocol Plan 20908 QM0816 PP Rev111716	20908 QM0816 PP
MED Severe Sepsis 6 Hour Bundle Plan 20707 QM0614 PP Rev101618	20707-PP-QM0614
PED Consent for Surgery 231410-062712	231410
PED ED REPORT OF CONSULT 24082 - 1008	24082 - 1008
PT ED Post CA Hypo Protocol-23042-QM0412-Rev041115	23042-QM0412
PT Heparin Cardiology Protocol 23019 QM0513 Rev021417w dose guide	23019 QM0513
PT Heparin VTE Protocol Orders 23018 QM0513 (QF0412) Rev021417 w dose gu...	23018 QM0513 (QF0412)
STROKE-Inclusion and Exclusion Form Rev. 032416

ED Tge Stand Strke Symp Act Res Orders 21004N QM0313	21004N QM0313
ED Triage Standing Abd Pain Female-20505N-QM0808 Rev032117	20505N-QM0808
ED Triage Standing Abd Pain Female-20505P-QM0808 Rev022316	20505P-QM0808
ED Triage Standing Abdominal Pain Male 20506N QM0808 Rev111417	20506N QM0808
ED Triage Standing Back Pain Orders-20509N-QM0313-(QF0412)-Rev081616	20509N-QM0313-(QF0412)
ED Triage Standing Flank Pain Orders-20538N-QM0313-(QF0412)-Rev022316	20538N-QM0313-(QF0412)
ED Triage Standing Headache Orders 20539N-QM0313-(QF0412)-Rev022316	20539N-QM0313-(QF0412)
ED Triage Standing Hyperglycemia-20511N-QM0313 Rev081616	20511N-QM0313
ED Triage Standing Hypertension Orders 20541N-QM0313-(QF0412) Rev022316	20541N-QM0313-(QF0412)
ED Triage Standing Hypoglycemia Orders-20512N-QM0313-(QF0412)-Rev022316	20512N-QM0313-(QF0412)
ED Triage Standing Overdose Orders 20514N-QM0313-(QF0412)-Rev022316	20514N-QM0313-(QF0412)
ED Triage Standing Psychiatric Symptoms 20516N QM 0313 (QF0412)-Rev081616	20516N-QM0313-(QF0412)
ED Triage Standing Seizure Recurrent Orders 20507N QM0808 (QF0412) Rev022316	20507N QM0808 (QF0412)
ED Triage Standing Sickle Cell Pain-Pain or SOB wHx Sickle Cell Orders-20547N-QM0313-(QF0412) -Rev022316	20547N-QM0313-(QF0412)
ED Triage Standing Symptoms Screening Orders-20560N-QM1209 Rev030116	20560N-QM1209
EDTriage Standing Abdominal Pain Male 20506 QM0808 Rev022316	20506 QM0808

ENDO Adrenal Insuff Cosyn StimTst 22504-QM1008-PP-Rev011416	22504-QM1008-PP
ENDO Diabetic Ketoacidosis Protocol Plan (DKA Plan) 22509 QM1008 PP Rev060518	22509-QM1008 PP
ENDO End Stage Liver Disease Plan 22503 QM1008 PP Rev 021318	22503-QM1008 PP
ENDO Hypocalcemia - 22505-QM1008	22505-QM1008
ENDO Hypoglycemia - 22510-QM1008	22510-QM1008
ENDO Hyponatremia (SIADH) - 22507-QM1008	22507-QM1008
ENDO Thyrotoxicosis - 22508-QM1008	22508-QM1008

ENT Adult Post Op - 20602-QM1008	20602-QM1008
ENT Adult Preop Plan 20601 QM1008 PP Rev013018	20601-QM1008 PP
ENT General Admission- 20603-QM0509-Ver5 111610	20603-QM0509
ENT Head Neck Postoperative Plan- 20605-QM0811 PP Rev081815	20605-QM0811 PP
ENT Pre/Post-Op Orders: ENT2 Peds- 758-QM-0607 Ver 6	758-QM-0607

GI EGD Inpatient Plan 21209 PP QM0408 Rev111417	21209 PP QM0408
GI Fecal Microbiota Plan 21208 PP QM0615 Rev111417	21208 PP QM0615
GI Hemorrhage Plan 21201 QM1108 PP Rev010218	21201-QM1108 PP
GI Informed Consent GI Lab -PMR-002 -010610-PS001658	PMR-002 -010610-PS001658
GI Lab Procedure Plan 21203 QM1108 PP Ver3 Rev021015	21203 QM1108 PP
GI PEG Post Procedure Plan 21207 QM1108 PP Rev111516	21207-QM1108 PP
GI PEG Pre Procedure Plan 21200 PP QM1014 Rev051017	21200-PP QM1014
GI Procedural Record for Moderate/Deep Sedation 605-QM-0908 ver6	605-QM-0908

21114 PP Plasma Exchange Admit-0211 Ver2 102111	21114 PP-QM0211
21119-HEM- Therapeutic Phlebotomy Plan-QM0811-082211	21119-QM0811-082211
CC Transfuse Blood Blood Products Adult Plan 22239 QM0113 PP Rev021015	22239 QM0113 PP
EM Leukocytapheresis Admit Plan-21116 PP-QM0211 080911	21116 PP-QM0211
HEM Admit to Apheresis Unit for RBC Exchange - 783-QM-ver2	783-QM
HEM BMT Transplant Admit Plan 21105 QM0715 PP Rev051617	21105 QM0715 PP
HEM RBC Exchange Admit Plan 21115 QM0211 PP Rev062617	21115 PP QM0211
HEM Sickle Cell Admit Plan 21118-PP-QM0113 (Fayette 0113)-Rev 012913	21118-PP-QM0113
HEM Sickle Cell Inpatient Plan 21101 QM1008 PP Rev071216	21101-QM1008 PP
HEM Stem Cell Collection-21113 PP-QM0211 080911	21113 PP-QM0211
HEM Stem Cell Mobilization-21112-PP-QM0211 080911	21112-PP-QM0211
HEM Transfusion Service Orders -786-QM-ver2	786-QM

ID Commonly Used Abx Plan 22724 QM1212 PP Rev091917	22724-PP-QM1212
PT Amphotericin B Bladder - 23003-QM-0408	23003-QM-0408
PT Lice Protocol-300-P T-DERM-1204-Ver3	300-P&T-DERM-1204

CC Wound Care Admit-22006-QM-1008	22006-QM-1008
ID Commonly Used Abx Plan 22724 QM1212 PP Rev091917	22724-PP-QM1212
LEB Croup Admit Plan 41302 QM0908 PP Rev051618	41302 QM0908 PP
MECH Admit Plan 29001-PP-QM0810-Rev011916	29001-PP-QM0810
MED Behavioral Health - 1078-QM-Ver4	1078-QM
MED Cellulitis Plan 20902 QM1108 Rev021015	20902-QM1108
MED Discharge Prescription Orders -1080-QM-Ver2	1080-QM
MED Do Not Resuscitate or Limited Resuscitation Physician Orders - 1084QM-1107-Ver 1	1084QM-1107
MED DVT Plan 20904 QM1108 PP Ver3 Rev021015	20904-QM1108 PP
MED Endocrine Progress Note-810-QM-ENDOPROG-VER1	810-QM
MED General Medicine Admit Plan 20901 QM1212 PP Rev120618	20901 PP QM1212
MED General Medicine Observation Plan 20910 QM1015 PP 101315	20910 QM1015 PP
MED Home IV Antibiotics - 1075-QM-Ver3	1075-QM
MED Hospitalist -809-QM-Hospitalist	809-QM
MED Inpatient Sepis 6 Hour Bundle Plan 20906 QM0614 PP Rev101618	20906 QM0614 PP
MED Int Med/Hospitalist - 806-QM-0607 Ver 5	806-QM-0607
MED Intravenous Antimicrobial Order Form - 1301-QM	1301-QM
MED Medical Clearance for Surgery - 20905-QM1008	20905-QM1008
MED MRT Standing Orders Protocol Plan 20908 QM0816 PP Rev111716	20908 QM0816 PP
MED Protective Restraints Physician Orders - 1082-QM 102710	1082-QM 102710
MED Severe Sepsis 6 Hour Bundle Plan 20707 QM0614 PP Rev101618	20707-PP-QM0614
MED Skilled Nursing Facility Admit- 20913 PP QM0810 080911	20913 PP QM0810
MED Urinary Tract Infection 20903 QM1108 PP Ver4 Rev021015	20903 QM1108 PP

IV Thrombolytic Therapy Form 051915
LEB NEURO Vagus Nerve Stimulator Post Op Plan- 41005 PP-QM1008	41005 PP-QM-1008
NEURO Acute Stroke ICU Plan 21001 QM0712 PP Rev101118	21001-QM0712 PP
NEURO Acute Stroke Non-ICU Plan 21002 QM0712 PP Rev081517	21002-QM0712 PP
NEURO Adult Refractory Status Epilepticus Plan 21032 QM1017 PP 030618	21032 QM1017 PP
NEURO Adult Status Epilepticus Emergent Treatment 21033 QM1017 PP 030618	21033 QM1017 PP
NEURO Alteplase IV Acute Isch Strke Plan EKM 21005 QM1008 PP Rev121118	21005-QM1008 PP
NEURO Antihypertensive PRN Meds Plan 21018 QM0611 PP Rev031715	21018 QM0611 PP
NEURO Arteriogram Post Procedure Plan-21019 QM0611 PP 041817	21019 QM0611 PP
NEURO Craniotomy Post Op Plan-21007-PP-QM0611-071912	21007-PP-QM0611
NEURO Decompressive Laminectomy Post Op Plan 21009-PP-QM1008-rev 020513	21009-PP-QM1008
Neuro Factor IX (Bebulin) for Warfarin Induced ICH and Major Bleeds Plan 21025 QM0113 PP Rev011618	21025 QM0113 PP
NEURO Isch Stroke NIH Scale-20525-QM-0908	20525-QM-0908
NEURO MD or RN Swallowing Screen-20531-QM0209	20531-QM0209
NEURO Neuro Intracerebral Hemorrhage Plan 21008 QM1008 PP Rev100118	21008 QM1008 PP
NEURO Neurosurgery Admit Plan 21024 QM0812 PP Rev100118	21024-PP-QM0812
NEURO Neurosurgery Routine Preop Admit-21013-QM1008 ver2	21013-QM1008
NEURO Pituitary Tumor Post Op Plan 21020 PP QM0611 Rev070918	21020-PP-QM0611
NEURO Post Carotid Endarectomy Plan 21027 QM0317 PP Rev031417	21027 QM0317 PP
NEURO Post Craniotomy-Aneurysm-830-QM0905 Ver5 111610	830-QM0905
NEURO SAH Post Op Plan-21023 QM0611 PP Rev100118	21023-PP-QM0611
NEURO Sodium Support Plan 21026 PP QM1014-110414	21026 PP QM1014
NEURO Spinal Disc Recon Surg Admit Plan-21012-PP-QM1008-Rev 040913	21012-PP-QM1008
NEURO Stroke Labs Plan 21011 PP QM1014 Rev010918	21011 PP QM1014
NEURO Ventriculostomy Plan-21010-QM0711 Rev 012114	21010-QM0711
STROKE-Inclusion and Exclusion Form Rev. 032416

GYN ONC Adult Admit Plan 21414 QM081815 PP Rev081815	21414 QM081815 PP
GYN ONC Adult Post Operative Plan-21416-PP-QM0411 Rev081815	21416-PP-QM0411
GYN ONC Adult Pre Op Plan-21415-PP-QM0811-Rev082614	21415-PP-QM0811
OB Antepartum Admit-21318-PP PH1-QM-0410-101910	21318-PP PH1-QM-0410
OB Fetal Demise(Cytotec) Plan 21336 QM0215 PP Rev031318	21336 QM0215 PP
OB Intrapartum Admission-Progress Record-21322-101810	21322-101810
OB Intrapartum Plan 21319 PP QM0510 Rev100317	21319 QM0510 PP
OB Post Delivery Progress Record 21323 101810 revised 120711	21323-101810
OB Postpartum Plan 21320 QM0510 PP Rev042418	21320 QM0510 PP
OB PreEclampsia-Eclampsia Antepartum Phase-21318-PP-PH3-QM0510Ver2 122011	21318-PP PH3-QM-0510
OB Tocolysis PreTerm Labor of Antepartum Admit-21318-PP PH2 -QM-0510-101910	21318-PP PH2 -QM-0510
OB Tocolysis-Magnesium-21321-PP-QM-0510-101910	21321-PP-QM-0510
OB Triage Standing Orders Plan 21323 QM0216 PP 022316	21323 QM0216 PP
OBGYN Gynecology Surgery PostOp Plan 21307 PP QM0411 Rev081418	21307-PP-QM0411
OBGYN Gynecology Surgery PreOp Plan 21301 PP QM1008 Rev081418	21301 PP QM1008
OBGYN Minimally Invasive GYN PostOp Plan 21335-PP-QM0113-Rev 060413	21335-PP-QM0113
OBGYN Minimally Invasive GYN PreOp Plan 21334 QM0113 PP Rev081418	21334-PP-QM0113
OBGYN OB Discharges Meds-853-QM-Ver3	853-QM
OBGYN OB Outpatient Care Plan 21325 QM0216 PP 022316	21325 QM0216 PP
VTE C-Sec Surgical Prophylaxis-25013-QM-0510 Ver 2-121510	25013-QM-0510
VTE MEDICAL PROPHYLAXIS Orders-22225 QM-1008 Ver 3 121510	22225 QM-1008

GYN ONC Adult Admit Plan 21414 QM081815 PP Rev081815	21414 QM081815 PP
GYN ONC Adult Post Operative Plan-21416-PP-QM0411 Rev081815	21416-PP-QM0411
GYN ONC Adult Pre Op Plan-21415-PP-QM0811-Rev082614	21415-PP-QM0811
ONC Blood and Marrow Trans Central Line Placement Rev013018	896-QM
ONC Blood and Marrow Transplant-Apheresis-898-QM-Ver2	898-QM
ONC Blood and Marrow Transplant-Growth Factor Mobilization-897-QM-Ver2	897-QM
ONC Blood and Marrow Transplant-Transplant Outpatient-899-QM-Ver1	899-QM
ONC Blood and Marrow Transplant-Transplant-900-QM-Ver2	900-QM
ONC Blood and Platelet Transfusion-21402-QM1008	21402-QM1008
ONC Bone Marrow Biopsy and Aspiration Plan 21403 QM1008 PP Rev062618	21403-QM1008
ONC Cesium Post Insertion Plan 21406 QM0211 PP Rev062618	21406-QM0211
ONC Electrolyte Replacement Plan 21410 QM0211 PP Rev062618	21410 PP-QM0211
ONC Gamma Globulin Infusion 21407 QM1008 Rev062618	21407-QM1008
ONC HIPEC Postop Plan 21418 QM0817 PP 081517	21418 QM0817 PP
ONC Hospice GIP Respite Admit Plan 21405 QM1008 PP Rev062618	21405-QM1008
ONC Malignant Hematology Admit Plan 21409 QM1008 PP Rev062618	21409-PP-QM0211
ONC Tumor Lysis Plan 21412 QM0618 PP Rev073018	21412 QM0618 PP
ONC-Medical Oncology Admit Plan 21408 QM0810 PP Rev062618	21408 QM0810 PP
PT Rasburicase ProtocolTumor Lysis 23037 QM1214 PP Rev013018	23037 QM1214 PP

OPHTH Cataract Surgery Orders-922-QM-0207-Ver4	922-QM-0207
OPHTH Corneal Transplant,Secondary IOL,Trabeculectomy,and Resuture Wound-923-QM-0207-Ver4	923-QM-0207
OPHTH Ophthalomolgy Malignant Melanoma Post-Op Plan 23206 QM1016 PP 101816	23206 QM1016 PP
OPHTH Ophthalomolgy Malignant Melanoma Pre-Op Plan 23205 QM1016 PP 101816	23205 QM1016 PP

LEB Pediatric Patient Controlled Analgesia Orders- morPHINE-43003- QM 0809	43003- QM 0809
ORTHO Orthopedic SDS Postop - 21805-QM1008-Ver5 112211	21805-QM1008
Ortho Fracture Plan 21820 QM0216 PP 022316	21820 QM0216 PP
ORTHO Hip Fracture Admit Plan 21811 QM0216 PP 021616	21811 QM0216 PP
ORTHO Ortho Fracture Pre Op Plan 21807 QM1213 PP Rev021015	21807 QM1213 PP
ORTHO Ortho PAW Plan 21815 QM1008 PP Rev012318	21815 QM1008 PP
ORTHO Ortho Total Joint Plan 21806 QM1008 PP Rev111618	21806 QM1008 PP
ORTHO Orthopedic Discharge Instructions-938-QM-1006-Ver3	938-QM-1006
ORTHO Orthopedic Preop Plan 21802 QM1008 PP Rev013018	21802-QM1008 PP
VTE ORTHO PROPHYLAXIS SURGICAL Plan 25005 QM1008 PP Ver5 Rev121515	25005 QM1008 PP

OUTPT Epoetin Alfa Physician Order Form 50001-QM0213-Rev.021413	50001-QM0213
OUTPT Filgrastim and tbo-Filgrastim Orders Form 50006 QM0214 Rev080315	50006-QM0214
OUTPT IVIG outpatient Rev.030314	50005-QM0213
OUTPT Pegfilgrastim Orders Form 50007-QM0213-Rev.021413	50007-QM0213
OUTPT Solid Organ Transplant Clinic tbo-Filgrastim Order Form Prescriber's Orders 50006-QM0213-Rev080315	50006-QM0213

23006 Glycoprotein iiib-iiia Dosing Protocol-23006-QM1208 Ver4 110411	23006-QM-1208
Adult Total Parenteral Nutrition Order Form - 360-P&T-Ver2	360-P&T
Bivalirudin Dose Adjustment Guidelines	Bivalirudin Dose Adjustment Guidelines
Chronic Renal Failure (PreESRD) - 1602-QM-Ver1	1602-QM
CROSS-Heparin Non Protocol Infusion 22230 QM0209 Rev021417	22230-QM0209
Heparin Flow Record- click here	Heparin Flow Record
LEB Enteral Nutrition Pediatric Plan (MD Only) 43003-QM0214-PP-091614	43003-QM0214-PP
LEB Med-SURG Intranasal Medication Plan-43006-PP-QM0912 021913	43006-PP-QM0912
LEB Multivitamin Formulary Plan 43006-PP-QM0609 111412	43006-PP-QM0609
LEB Pediatric Patient Controlled Analgesia Orders- morPHINE-43003- QM 0809	43003- QM 0809
LEB RD_Enteral Nutrition Pediatric Protocol Plan 43004 QM0214 PP 091614	43004 QM0214 PP
Palivizumab (Synagis) Order Form- 020410	20410
Palivizumab (Synagis) Order Form- 020410	20410
Post CV Surgery Diltiazem Atrial Fibrillation Protocol - 103-PostCVSurgery	103-PostCVSurgery
Protein Calorie Malnutrition - 1601-QM-Ver1	1601-QM
PT Hydration Protocol Plan 23017 QM1214 PP Rev091115	23017 QM1214 PP
PT Alteplase for Peripheral Revascularization Protocol Orders 23040 QM0510 Ver2 011712	23040 -QM0510
PT Amiodarone Protocol Orders 23035-QM1212-Rev042216	23035-QM1212
PT Amphotericin B Bladder - 23003-QM-0408	23003-QM-0408
PT Angioedema Treatment Plan 23061 QM0915 PP 092215	23061 QM0915 PP
PT Antimicrobial Prophylaxis for Surgery Protocol Orders - 23001-QM1208	23001-QM1208
PT Argatroban or Bivalirudin DTI Protocol Flow Record-202-Rev 043013	202
PT Bivalirudin (Angiomax) Cath Lab Only 23016 QM0313 Rev042517	23016-QM0313
PT Delirium Tremens Treatment Protocol Orders 23049 QM0312 Rev071415	23049 QM0312
PT Dialysis IM-IV Push Antibiotics Plan 23002-PP-QM0814-082614	23002-PP-QM0814
PT Dofetilide (New Start) Protocol Orders 23060 QM1116 121516	23060 QM1116
PT DT Prophylaxis Protocol Orders-23050-QM0312 Rev010415	23050-QM0312
PT DTI Protocol Orders 23012-QM0313-Rev.030816	23012-QM0313
PT ED Post CA Hypo Protocol-23042-QM0412-Rev041115	23042-QM0412
PT Heparin Cardiology Protocol 23019 QM0513 Rev021417w dose guide	23019 QM0513
PT Heparin VTE Protocol Orders 23018 QM0513 (QF0412) Rev021417 w dose gu...	23018 QM0513 (QF0412)
PT HIT Protocol-Argatroban
PT Hypertensive Crisis Protocol Orders 23055 QM1016 102516	23055 QM1016
PT Hypoglycemia Protocol - 23015-QM1208 ver2	23015-QM1208
PT ICU Glycemic Control Protocol Orders 23026 QM0509 Rev042517	23026-QM0509
PT Insulin Sliding Scale Plans 23025 QM0715 PP Rev050818	23025 QM0715 PP
PT Intraventricular Alteplase for Intracerebral Hemorrhage Protocol-PT-23049-QM0612-080912	23049-QM0612
PT Lice Protocol-300-P T-DERM-1204-Ver3	300-P&T-DERM-1204
PT Methacholine Challenge Protocol Orders- 23041 QM0410 080911	23041 QM0410
PT Methylpred Spinal Cord Inj Protocol Orders 23007 QM0408 Rev081815	23007-QM0408
PT Neuro Heparin Therapy Protocol Plan 23056 QM1018 PP 112018	23056 QM1018 PP
PT NMB of Mech Vent Pt Protocol 23022 QM1208 Rev050515	23022-QM1208
PT PCA- MorPHINE Protocol Plan 23027 PP QM0811 Rev122017	23027-PP-QM0811
PT PCA-HYDROmorphone Protocol Plan 23028-PP-QM0811 Rev122017	23028-PP-QM0811
PT Rasburicase ProtocolTumor Lysis 23037 QM1214 PP Rev013018	23037 QM1214 PP
PT Shivering Management for Hypothermia Orders 23053 QM0216 Rev052517	23053 QM0216
PT Thrombolytic Protocol for Cath Clearance - 063-P&T-Ver1	063-P&T

PALL B.A.D.PCA IV Infusion Order Form - 22802 -QM0908	22802 -QM0908
PAll Palliative Care Plan 22801 QM1108 PP Ver10 Rev022415	22801 QM1108 PP

PED Admit/Transfer to Neuroscience Unit - 1466-QM-0805-Ver1	1466-QM-0805
PED Asthma Admit Plan 24021-PP-QM0811-Rev 121112	24021-PP-QM0811
PED Bronchiolitis Admit Plan 24020-PP-QM0811-Rev 121112	24020-PP-QM0811
PED Colonoscopy - 1362-QM-0607-Ver1	1362-QM-0607
PED Endocrine General Admit Plan 24031 PP QM0811 Rev042216	24031-PP-QM0811
PED Esophagogastroduodenoscopy - 1361-QM-0607-Ver1	1361-QM-0607
PED General Medicine Admit Plan 24028-PP-QM-0811-Rev 121112	24028-PP-QM-0811
PED GI Fecal Microbiota Transplant Plan 24045 QM0415 071415	24045 QM0415
PED Intravenous Antimicrobial Order Form - 1301-QM-0705-Ver2	1301-QM-0705
PED Monitored Sedation Care - 1321-QM-0306-Ver1	1321-QM-0306
PED Neurosurgical PICU Admission Orders - 1468-QM-0806-Ver1	1468-QM-0806
PED Newborn Nursery Admit Standing Orders Plan 24047 QM0216 PP Rev041916	24047 QM0216 PP
PED Newborn Nursery Risk for Infection Plan 24049 QM0216 PP 022316	24049 QM0216 PP
PED NICU Eye Exam Medication Orders 24038-QM1212-Rev020916	24038-QM1212
PED NICU Quick Admit Plan 24040 QM0114 PP Rev021015	24040 QM0114 PP
PED ORTHO General Post Op Plan 24022 QM0811 PP Rev051618	24022 QM0811 PP
PED Palivizumab (Synagis) Order Form - 1414-QM-0107-Ver1	1414-QM-0107
PED Pediatric Admission/Transfer Orders Status Asthmaticus - 1412-QM-0205-Ver1	1412-QM-0205
PED Pediatric Admit to Epilepsy Monitoring Unit - 1461-QM-0207-Ver3	1461-QM-0207
PED Pediatric Cardiothoracic Peritoneal Dialysis Orders - 1337-QM-0107-Ver1	1337-QM-0107
PED Pediatric Cerebral Arteriogram & Intracarotid Amytal Test (WADA Test) - 1462-QM-0207-Ver3	1462-QM-0207
PED Pediatric Ketogenic Diet - 1303-QM-0207-Ver3	1303-QM-0207
PED Pediatric MNT Protocol Plan 24005-QM0214-PP-Rev080718	24005-QM0214-PP
PED Pediatric Outpatient Video-EEG Monitoring - 1465-QM-0207-Ver3	1465-QM-0207
PED Pediatric Patient Controlled Analgesia Orders - 1481-QM-0206-Ver2	1481-QM-0206
PED Pediatric Post-Op Vagus Nerve Stimulator Placement - 1464-QM-0207-Ver3	1464-QM-0207
PED Pediatric Viral Bronchiolitis - 1411-QM-0205-Ver1	1411-QM-0205
PED Pneumonia Admit Plan 24033-PP-QM-08111-Rev 121112	24033-PP-QM-08111

PED ED Acute Asthma - 24001-QM-0908	24001-QM-0908
PED ED Asthma Protocol- 1413-QM-0605-Ver1	1413-QM-0605
PED ED Gastroenteritis - 24002-QM-0408	24002-QM-0408
PED ED Pneumonia - 24004-QM-0408	24004-QM-0408
PED ED Sepsis Plan 24049 QM0614 PP 020717	24049 QM0614 PP

PED ENT Surgery Post Op and Discharge Plan 24016 QM0113 PP Rev103018

24016-PP-QM0113

Parenteral Nutrition - 24010-0809	24010-0809
PED Neonatal Sepsis Admit Plan 24034-PP-QM-0811-Rev 121112	24034-PP-QM-0811
PED Newborn Circumcision Plan-24009-PP-QM1111 080212	24009-PP-QM1111
PED Newborn Nursery Admit Standing Orders Plan 24047 QM0216 PP Rev041916	24047 QM0216 PP
PED Newborn Nursery Antibiotics Plan 24014-PP-QM0510 Ver3 061014	24014-PP-QM0510
PED Newborn Nursery History & Physical - 21317-QM-0408-Ver1	21317-QM-0408
PED NICU Admit Plan 24011 PP QM0410 Rev080817	24011-PP-QM0410
PED NICU Hyperkalemia Plan-24035-PP-QM1212-021913	24035-PP-QM1212
PED NICU Immunization - 24013-PP-QM-0510-101910	24013-PP-QM-0510
PED NICU Nitric Oxide Plan 24036-PP-QM0513-051413	24036-PP-QM0513
PED NICU Osteopenia of Prematurity Plan 24037-PP-QM1212-021913	24037-PP-QM1212
PED NICU Synagis- 24015-PP-QM-0810-101910	24015-PP-QM-0810

LEB Ambulatory Surg H&P and Immediate Post Op Note 2017	22007- QM0417
PED GEN SURG Admit Plan 24025 QM1111 PP Rev103018	24025 QM1111 PP
PED Gen Surg Post Op Plan 24027 QM0811 PP Rev103018	24027-PP-QM0811
PED ORTHO General Post Op Plan 24022 QM0811 PP Rev051618	24022 QM0811 PP
PED SURG Cardiothoracic Surgery Preoperative Admission - 1333-QM-0606-Ver1	1333-QM-0606
PED SURG Cardiovascular Immediate Post Op Progress Notes - 1338-QM-0607-Ver1	1338-QM-0607
PED SURG Circumcision - 28002-QM-0408	28002-QM-0408
PED SURG Pediatric Cardiovascular Surgery Post-Op Orders - 1331-QM-1107-Ver4	1331-QM-1107
PED SURG Pediatric Cardiovascular Surgery Transfer Orders - 1332-QM-0407-Ver2	1332-QM-0407
PED SURG Pediatric Post-Op Craniotomy - 1463-QM-0207-Ver3	1463-QM-0207-Ver3
PED SURG Post-Op Routine Shunt Revision - 1467-QM-0905-Ver1	1467-QM-0905
PED SURG Pre-ECMO Orders - 1334-QM-0606-Ver1	1334-QM-0606
PED SURG Same Day Surgery Postop- 28004-QM-0408	28004-QM-0408
PED SURG Same Day Surgery Preop - 28003-QM-0408	28003-QM-0408
PED SURG Sucrose Administration for Analgesia During Neonatal Circumcision - 856-QM-0106-Ver3	856-QM-0106

Housewide Ped Asthma Score Protocol.12.6.11.rev	12.6.11.rev
PT Methacholine Challenge Protocol-23041-0410	23041-0410
PULM Asthma and Bronchitis Plan 21707 PP QM1108 Rev081815	21707 PP QM1108
PULM Bronchoscopy Post Procedure-21702-QM1108-Ver5-082911	21702-QM1108
PULM Bronchoscopy Pre Proc-21701-QM1108-Ver9 Rev031516	21701-QM1108
PULM Chronic Obstructive Pulmonary Disease Plan 21706 QM1108 PP Rev091917	21706-QM1108-PP
PULM Discharge Planning Orders for Respiratory Home Care of the Adult Patient (Adults 18 & Older)-961-QM-0406-Ver2	961-QM-0406
PULM Percutaneous Tracheostomy Postop-21705-QM1108	21705-QM1108
PULM Percutaneous Tracheostomy Preop-21704-QM1108 PP Rev100118	21704-QM1108
PULM Pneumonia Discharge Instructions Sheet- 964-QM-1006-Ver2	964-QM-1006
PULM Pneumonia Orders 21709-QM0409-Rev 070213	21709-QM0409
PULM Post Extubation Orders 21711-QM0410-081712	21711-QM0410
PULM Procedural Record for Moderate/Deep Sedation-605-QM-0908 ver 6	605-QM-0908
PULM Pulm CC Daily Progress Note-957-QM-0709 ver6 101909	957-QM-0709
PULM Pulmonary Function Study Orders 21706 QM0410 Rev070318	21716-QM0410
PULM Vent Bundle Mech Vent Patients Plan 21710 QM0113 PP Rev091218	21710-QM0113 PP
PULM Ventilator Care Unit Admit Adult-21703-QM1108 PP Rev100118	21703-QM1108

PT Alteplase for Peripheral Revascularization Protocol Orders 23040 QM0510 Ver2 011712	23040 -QM0510
RAD Arteriogram Brachial Post Proc - 21612-QM0708-Ver4 101910	21612-QM0708
RAD Arteriogram Femoral Post Procedure Plan 21611 QM0708 PP Rev041817	21611-QM0708 PP
RAD Arteriogram Pre Procedure - 21626 PP QM0309 Rev010918	21626 PP QM0309
RAD Biopsy Drain Placement Pre Proc - 21617 PP QM0309 Rev010918	21617 PP QM0309
RAD Biopsy Post Procedure - 21603-QM0908-Ver4 101910	21603-QM0908
RAD Chemoembolization Post Procedure Plan 21622-PP-QM0309-Rev 052113	21622-PP-QM0309
RAD Chemoembolization Pre Proc Plan 21628 QM0309 PP Rev090115	21628-QM0309 PP
RAD CT Guided Liver Biopsy Post Proc - 21604-QM0808-Ver4 101910	21604-QM0808
RAD CT Guided Lung Biopsy Post Proc - 21605-QM0808-Ver4 101910	21605-QM0808
RAD CT Guided Renal Core Biopsy Post Proc - 21606-QM0808-Ver4 101910	21606-QM0808
RAD Interven Rad Transjugular BX Post Proc - 21614-QM0309-Ver4 101910	21614-QM0309
RAD Kyphoplasty Pre Procedure - 21609-QM0309-PP Ver5 Rev090115	21609-QM0309 PP
RAD Liver Radiofrequency Ablation Post Proc - 21624-QM0309 Ver5 051111	21624-QM0309
RAD Liver Radiofrequency Ablation Pre Proc Plan 21623 QM0309 PP Rev021015	21623 QM0309 PP
RAD Lumbar Punct per Radiology w Injec Pre Pro Plan 21621 QM0309 PP	21621-QM0309
RAD Lumbar Puncture per Radiology w wo Inj Post Proc Plan 21610 QM0708 PP	21610-QM0708
RAD Lumbar Puncture Per Radiology wo Inj Pre Proc Plan 21630 QM0309 PP	21630-QM0309
RAD Mgmt of IV Contrast Extravasation Plan 21642 QM0315 PP 031715	21642 QM0315 PP
RAD Myelogram Post Procedure - 21608-QM0708-Ver4 101910	21608-QM0708
RAD Myelogram Pre Procedure Plan 21607 QM0309 PP Rev013018	21607-QM0309 PP
RAD Neuroform Stent Aneurysm Embolization Post Proc - 21618l-QM0309-Ver5-092410	21618l-QM0309
RAD PAC Placement Post Procedure Plan 21634-QM0812-092512	21634-QM0812
RAD PAC Placement Pre Procedure Plan 21633 QM0812 PP Rev031715	21633-QM0812 PP
RAD Peripheral Thrombolysis Post Procedure Plan-21636-QM010214-020414	21636-QM010214
RAD Peripheral Thrombolysis Pre Procedure Plan-21635-QM010214 020414	21635-QM010214
RAD Perma-Cath Pre Procedure Plan 21601 QM0309 PP Rev090115	21601-QM0309 PP
RAD Radiology CT Contrast Orders 21640-QM1214-Rev123014	21640-QM1214
RAD Radiology CT Medication Plan PP Rev032018
RAD Radiology Diagnostic Contrast Plan PP Rev032018
RAD Radiology MRI Contrast Plan 21602 QM1014 PP Rev032018	21602-PP-QM1014
RAD Radiology Nuclear Med Medication Plan PP Rev032018
RAD Radiology Specials Contrast Plan 21638 QM1014 PP Rev032018	21638-PP-QM1014
RAD Radiology Specials Medication Plan PP Rev032018
RAD Radiology Specials Medication-QM0214-03112014	QM0214
RAD Suspension of Metformin for Contrast Use - 21631-QM0508	21631-QM0508
RAD US Thoracentesis Paracen Thyroid Bx PostProc - 21625-QM0309-Ver4 101910	21625-QM0309
RAD Uterine Fibroid Embolization Post Proc 21613 PP QM1010 Rev051518	21613-PP-QM1010
RAD Uterine Fibroid Embolization Pre Proc Plan 21619 QM0309 PP Rev051018	21619 QM0309 PP
RAD Venous Angiogram Post Procedure Plan 21631 QM0309 PP Rev041817	21631-QM0309 PP
Radiology Moderate Sedation Plan PP Rev032018

PT Hydration Protocol Plan 23017 QM1214 PP Rev091115	23017 QM1214 PP
RENAL Acute_Chronic Renal Failure Orders 21903-QM0408 080212	21903-QM-0408
RENAL CAPD-Continuous Ambulatory PD Plan 21907 QM0810 Rev020916	21907-QM0810
RENAL CRRT SLED Fresenius Orders-21906-QM0810-080911 080212	21906-QM0810
RENAL ESRD - 21904-QM-0408 Ver3	21904-QM-0408
RENAL Hemodialysis Adult Orders 21901-QM1108-Rev 041613	21901-QM1108
RENAL Ren2 Daily Progress Note (Critical Care) - 1002-QM-0607 Ver 4	1002-QM-0607
RENAL Tolvaptan and Conivaptan Plan 21909-PP-QM0313 Rev042715	21909-PP-QM0313
RENAL-CCPD- Continuous Cycling PD Plan 21908-QM0810-Rev020916	21908-QM0810

CC VTE Prophylaxis-Surgical - 22226-QM-1008 ver 7	22226-QM-1008
GEN SURG Enhanced Recovery After Surgery (ERAS) Pre Op Plan 22019 QM1115 PP Rev013018	22019 QM1115 PP
GEN SURG Enhanced Recovery After Surgery (ERAS) Post Op Plan 22020 QM1115 111715	22020 QM1115
PED Consent for Surgery 231410-062712	231410
PT Antimicrobial Prophylaxis for Surgery Protocol Orders - 23001-QM1208	23001-QM1208
SDS General Pre Op Orders - MD OFFICE -42014 - QM0310_Ver2 1213	42014 -QM0310
SURG Colon Surgery Post Op Plan 22012-PP-QM0912-102312	22012-PP-QM0912
SURG Colon Surgery Pre Op Plan 22011-PP- QM0912 Rev021015	22011-PP-QM0912
SURG Gen Surgery Post OP Plan 22005 PP QM1008 Rev100317	22005 QM1008 PP
SURG General Surg Routine Admit Plan 22004 QM1008 Rev072115	22004 QM1008
SURG General Surgery - Post Op AM Admit - 1027-QM-00308 Ver 6	1027-QM-00308
SURG General Surgery SDS Admit Plan 22003 QM1008 PP Rev013018	22003-QM1008 PP
SURG Immediate Post Op/Procedure Note-22007-QM0417-Ver 3	22007-QM0417
SURG Lap Band Implantation Pre-Op - 774-QM-Ver2	774-QM
SURG Lap Band-Gastric Bypass Postop Orders 22002 QM0518 Rev052218	22002 QM0518
SURG Lap Gastric Bypass Surgery Pre-Op - 773-QM-Ver2	773-QM
SURG Laparoscopic Cholecystectomy Postop - 22006-QM1008 Ver2 071211	22006-QM1008
SURG Malignant Hyperthermia Post Acute Phase Mgmt 22030 QM1016 PP Rev030518	22030 QM1016 PP
SURG Mast w Immediate Prosthetic Recon Post Op Plan 20016 PP QM0215 021715	20016 PP QM0215
SURG Medical Clearance for Surgery - 20905-QM-1008	20905-QM-1008
SURG OUTPT ANTIMICROBIAL PROPHY - 22229-QM-1008	22229-QM-1008
SURG PACU Surgeon Common Orders Plan 22009 QM1111 PP Rev062617	22009 QM1111 PP
SURG Penile Prosthesis Pre Op Plan 22107 QM1008 PP Rev013018	22107-QM1008 PP
SURG Plastic Surgery Breast Free Flap POD 0Plan 22013 PP QM0215 Rev031015	22013 PP QM0215
SURG Plastic Surgery Breast Free Flap POD 1 plus Plan 22014 PP QM0215 Rev031015	22014 PP QM0215
SURG Plastic Surgery Breast Free Flap Reconstruction Pre Op Plan 20017 PP QM0215 021715	20017 PP QM0215
SURG Plastic Surgery Free Flap Post-Op Plan 22015 PP QM0215 021715	22015 PP QM0215
SURG Pre Op Pre Admission Work Up Plan 22018 PP QM0315 Rev092617	22018 PP QM0315
SURG Surgery Immediate Post Op Note Additional Detail - 1030-QM-0308-Ver2	1030-QM-0308
SURG TURP TURBT Preop Plan 22101 QM1008 PP Rev013018	22101-QM1008 PP
SURG Vascular Surgery AAA Endovascular Post Op Plan 22031 QM0717 PP 072517	22031 QM0717 PP
SURG Vascular Surgery AV Fistula Outpatient DC Plan 22032 QM0717 PP 072517	22032 QM0717 PP
SURG Vascular Surgery Carotid Endarectomy Post Op Plan 22035 QM0717 PP 072517	22035 QM0717 PP
SURG Vascular Surgery Cath Lab Post Procedure Plan 22033 QM0717 PP 072517	22033 QM0717 PP
SURG Vascular Surgery Pre Op or Pre Cath Lab Plan 22037 QM0717 PP Rev013018	22037 QM0717 PP
SURG Vascular Sx AAA Repair Open Post Op Plan 22034 QM0717 PP 0702517	22034 QM0717 PP
Vasc Sx Low Ext Amp or Bypass Graft Post Op 22036 QM0717 PP 072517	22036 QM0717 PP

Liver Transplant Post-Op Transfer Plan-22410 PP-QM0411 080911	22410 PP QM0411
Parencentisis orders for Hepatology Services/Transplant Patients 1006-Ver 1- 1232-QM-1006-Ver1	1232-QM-1006
Pre-Operative Kidney Transplant Recipient PAW Orders– 1224-QM-1006-Ver 1	1224-QM-1006
Renal Transplant - Recipient Admission - 1204-QM-0907-Ver4	1204-QM-0907
Renal Transplant Post Op Plan 22406 PP-QM0411 Ver2 120611	22406 PP-QM0411
TRANS Kidney Panc-Panc Trans Re-Admit Plan 22404 QM0411 PP Rev021015	22404 QM0411 PP
TRANS Kidney-Panc Panc Transplant Post Op Plan-22402 QM0411 PP Ver4 Rev032615	22402 QM0411 PP
TRANS Liver and Kidney Transplant Post-Op 22427 PP QM1112 Rev100118	22427-PP-QM1112
TRANS Liver OR Liver Kidney Trans Admit Plan 22408 QM0411 PP Rev101816	22408 QM0411 PP
TRANS Liver Transplant Post Op Plan 22409 QM0411 PP Rev072418	22409 PP QM0411
TRANS Liver Transplant Re-Admit Plan 22411 QM0411 PP Rev101816	22411 PP QM0411
TRANS Living Donor Hepatectomy Plan 22430 PP QM1117 111417	22430 PP QM1117
TRANS Living Donor Nephr Post Op Plan 22414 PP QM0411 Rev031015	22414 PP QM0411
TRANS Living Donor Transpl Nephr Admit Plan 22413 QM0411 PP Rev011615	22413 QM0411 PP
TRANS Renal Transplant Admit Plan 22405 QM0411 PP Rev011615	22405 QM0411 PP
TRANS Transplant Insulin Sliding Scale Protocol Plan 22425 QM0411 PP Rev050818	22425 QM0411 PP
Transpl-HBIG Insfusion- 22421-PP-QM0411 080911	22421-PP-QM0411
Transplant Home Health Orders- 1222-QM-1006-Ver 1	1222-QM-1006
Transplant Nephrectomy Admission Orders - 1207-QM-Ver2	1207-QM
Transplant Outpatient Unit S/P Transplant Admission Orders- 1231-0407-Ver 2	1231-0407
Transplant Pre Op-Intra Op Meds Plan- 22412 PP QM0411 Rev102715	22412 PP QM0411

Penile Prosthesis Postop - 22108-QM1008-Ver2 071211	22108-QM1008
Robotic Prostatectomy Pre Op - 22111-QM1008 Ver5 071211	22111-QM1008
SURG Penile Prosthesis Pre Op Plan 22107 QM1008 PP Rev013018	22107-QM1008 PP
SURG TURP TURBT Preop Plan 22101 QM1008 PP Rev013018	22101-QM1008 PP
UROL Brachytherapy Postop Plan- 22106 QM1008 PP Rev070318	22106-QM1008
UROL Brachytherapy Preop Plan 22105 QM1008 PP Rev070318	22105-QM1008 PP
UROL Radical Prostatectomy Nephrectomy Preop 22103 QM1008 Rev013018	22103-QM1008
UROL TURP-TURBT Post Op Plan 22102 QM1008 PP Rev070318	22102-QM1008
UROL Urology Robotic Prostatectomy Postop - 22111-QM1008 Ver5 071211	22111-QM1008
UROL Urology Robotic Prostatectomy Postop Plan 22111 QM1008 PP Rev070318	22104-QM1008 PP
UROL Urology Robotic Prostatectomy Pre Op Plan 22110 QM1008 PP Rev070318	22110-QM1008 PP
Urology General Admit Plan 22109 QM0507 PP Ver4 Rev021015	22109 QM0507 PP

C-Sec Surgical Prophylaxis - 25013 -QM-0510 Ver 2-121510	25013 -QM-0510
Nursing Assessment - 1008	1008
VTE CABG and Valve Prophylaxsis 25007 QM1008 PP Rev072517	25007 PP QM1008
VTE Intracranial or Intraocular Procedures Prophylaxis Plan 25004 PP QM1008 Rev082614	25004 PP QM1008
VTE MEDICAL Prophylaxsis Orders- 22225 QM1008 Rev082614	22225 QM1008
VTE ORTHO PROPHYLAXIS SURGICAL Plan 25005 QM1008 PP Ver5 Rev121515	25005 QM1008 PP
VTE OTHER SURGICAL Prophylaxis Plan 25006-PP-QM1008-Rev082614	25006-PP-QM1008
VTE PROPHYLAXIS SURGICAL Plan 22226 QM1008 PP Ver14 121515	22226-QM-1008

Anesthesia

Behavioral Health

Cardiology

Critical Care

Cross Condition

CV Surg

Doctors Forms

ED

ED Triage Standing

Endocrinology

ENT

Gastroenterology

Hematology

ID

Med

Neuro

OB/GYN

Oncology

Ophthalmology

Orthopaedics

Outpatient

P & T

Pallative Care

PED

PED ED

PED Ent

PED Neonatal

PED Surg

Pulmonary

Radiology

Renal

Surg

Transplant

Urology

VTE